Ordering

Order Request Form

Conductor size, number of leads and cord type, i.e. 18/2 SPT-2, 16/3 SJT, etc.
Color code: Black- white-green
Lt. blue-brown - green/yellow
Temperature rating of cordage: 60C
90C
105C
Dimensions: A-Overal Length
Dimensions: B-Remove Outer Jacket
Dimensions: C-Lead(s) strip
Terminal Attachments
Straight Molded Plug Style, i.e. NEMA 5-15P; NEMA 5-20P, etc.
If plug required is angle style, check here
Receptacle required on end opposite end? i.e. EN 60320 C 13, NEMA 5-15R, etc..
If receptacle required is angle style, check here
EAU/Quantity to Quote?
Target Price?
Will our AutoCad Print be Required for Approval? Yes
No
Will a First-Article Sample be Required for Approval? Yes
No
Can You Submit a Sample Cord, if Necessary? Yes
No
Upon Approval of Quote/Sample, How Long Until "Buy" is Made?
Certification UL Approval
CSA Certified
No Certification required
Would you like us to contact you to discuss? Yes
No
Comments
Name:
Email Address:
Company:
Address:
Telephone:

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